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a�a-�so-oo2o City of Zephyrhilis Permit Application Fa�c-813-780-0021 <br /> ' Building Depa�tment <br /> Date Received �i- �- ( � Phone Conta�t for Permitti �S I� 7 1 - - ,3 7G <br /> oM►�r$Na� �`dr � � .r (�:(,['� Owner Phone Number ��� ! V GY�c�D <br /> Owners Address �.3 3 S �S+k ��' Z.� - ` Owner Phone Number <br /> Fee Simple Titleholder Name P'�� Owner Phone Number <br /> Fee Simple Titlehdder Address r lF�"f, <br /> JOB ADDRESS c�� 7 {�Vl ((k? �l LOT� �� <br /> suBn�visioN PARCEL ID� I 3- ��cr��—f��-�(D�-- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSfR ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIP110N OF WORK �LA. kA I I 1'1�J�t� �P�J�YKf�I�� I� LDA�i� �/� �t A�5 ��� �3 t�. <br /> BUILDING SIZE � SQ FOOTAGE � d HEIGHT I,p�� <br /> QBUILDING $ �M ��� VALUATION OF TOTAL CONSTRUCTION <br /> V`Z <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ �f�`��}�,.�� � <br /> 3 ,r <br /> QMECHAN�CAL $ VALUATION OF MECHANICAL INSTAILATION �.��,� Z �,t i � ��� � <br /> `, ��� <br /> ` / �- <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER ��j /J��-✓ �C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO�'�ry, � � <br /> �} <br /> BUILDER CpMp/Wy <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> �d� License# <br /> OTHER � COMPANY J�f�� �� � p►lL�e � �4 � <br /> SIGNATURE � REGISTERED Y I N FEE CURRE� Y/N <br /> Address �D'�l� � pt r �M 4 f � License# �d��fvr/� <br /> IIIt11111111111111111111111111111111111111111Illllllf11111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PertnR for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster,Site Wa1c Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalfties&1 dumpster.Site Work Permit for all new projeds.All commeraal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*'PROPERTY SURVEY required for all NEW construction. <br /> Direcdons:• <br /> Fill out application completely. <br /> Owner 8�Contractor sign badc of application,notarized <br /> If over 52500,a Notice of Commencemerrt is required. (A/C upgrades over;7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITIING (Front of Application Only) <br /> Reroofs"rf shingles SevNers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />